N\u00f6roloji Uzman\u0131 Dr. Didem Er, ila\u00e7 etkili olmayan migren tedavisinde \u201coksipital blokaj\u201d y\u00f6ntemi sayesinde a\u011fr\u0131ya neden olan sinir sistemindeki a\u011fr\u0131 duyusunun bloke edilerek a\u011fr\u0131n\u0131n kesilebildi\u011fini s\u00f6yledi.<\/p>\n
Migren, t\u00fcm ba\u015f a\u011fr\u0131s\u0131 hastal\u0131klar\u0131 i\u00e7inde doktora en fazla ba\u015fvuru nedeni olan durumdur. Migren tan\u0131s\u0131 i\u00e7in \u00f6zel bir laboratuvar testi veya radyolojik inceleme yoktur. \u0130nsanl\u0131k tarihi kadar eski bir hastal\u0131k olan migren toplum i\u00e7in olduk\u00e7a \u00f6nemli bir sa\u011fl\u0131k sorunudur. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc taraf\u0131ndan en \u00e7ok k\u0131s\u0131tl\u0131l\u0131k yapan hastal\u0131klar aras\u0131nda ele al\u0131nm\u0131\u015ft\u0131r. Kad\u0131nlar\u0131n yakla\u015f\u0131k y\u00fczde 20\u2019sinin, erkeklerin ise y\u00fczde 8\u2019inin migrenli oldu\u011fu bilinmektedir.<\/p>\n
Migren tedavisinde oksipital blokaj<\/p>\n
Medicana Samsun Hastanesi N\u00f6roloji B\u00f6l\u00fcm\u00fcnden Uzm. Dr. Didem Er migrende ila\u00e7 d\u0131\u015f\u0131 tedaviler konusunda bilgi verdi. Dr. Didem Er, \u201c\u0130la\u00e7lar etkili olamad\u0131\u011f\u0131nda ve ba\u015f a\u011fr\u0131lar\u0131 g\u00fcnl\u00fck ya\u015fam aktivitelerini etkilemeye ba\u015flad\u0131\u011f\u0131nda, migren tedavisi i\u00e7in alternatif bir \u00e7\u00f6z\u00fcm olan oksipital blokaj y\u00f6netimi etkili bir \u00e7\u00f6z\u00fcm y\u00f6ntemi olarak kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r. Yap\u0131lan \u00e7al\u0131\u015fmalarda sadece ilaca cevap vermeyen migren a\u011fr\u0131lar\u0131nda de\u011fil, a\u015f\u0131r\u0131 ila\u00e7 kullan\u0131m\u0131na ba\u011fl\u0131 ba\u015f a\u011fr\u0131s\u0131 olan hastalarda, servikojenik ba\u015f a\u011fr\u0131s\u0131, k\u00fcme ba\u015f a\u011fr\u0131s\u0131 ve oksipital nevraljide oksipital sinir blo\u011fu ile de\u011fi\u015fen oranlarda olumlu yan\u0131t al\u0131nd\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir. Oksipital blokaj ba\u015f\u0131n a\u011fr\u0131 duyusunu alg\u0131layan k\u0131sm\u0131n anestezik maddelerle blokaj\u0131 ve sinirin uyar\u0131labilirli\u011finin azalt\u0131lmas\u0131 i\u015flemidir. Bu y\u00f6ntem sayesinde a\u011fr\u0131ya neden olan sinir sistemindeki a\u011fr\u0131 duyusu bloke edilir ve dolay\u0131s\u0131yla a\u011fr\u0131 kesilir. Di\u011fer bir y\u00f6ntem ise botoks uygulamas\u0131d\u0131r\u201d dedi.<\/p>\n
Botoksla migren tedavisi<\/p>\n
Y\u00fczdeki k\u0131r\u0131\u015f\u0131kl\u0131klar\u0131 yok etme amac\u0131 ile \u2018botulinum toksini(botoks)\u2019 yapt\u0131ran migrenli hastalar\u0131n ba\u015f a\u011fr\u0131lar\u0131n\u0131n azald\u0131\u011f\u0131n\u0131n fark edilmesinin, migren tedavisinde botoks kullan\u0131m\u0131n\u0131n yolunu a\u00e7t\u0131\u011f\u0131n\u0131 belirten Dr. Didem Er, \u201cYap\u0131lan ara\u015ft\u0131rmalar 3 aydan fazla bir s\u00fcre boyunca, ayda 15 ya da daha fazla g\u00fcn, migren karakterinde ba\u015f a\u011fr\u0131s\u0131 olarak tan\u0131mlanan kronik migren tedavisinde botoks uygulamas\u0131n\u0131n etkili oldu\u011fu g\u00f6sterdi. Bu etkinin, botoksun, sinir sonlanma b\u00f6lgelerinde baz\u0131 n\u00f6rotransmitterlerin sal\u0131n\u0131m\u0131n\u0131 engellemesi yoluyla inflamatuvar a\u011fr\u0131y\u0131 \u00f6nlemesinden kaynakland\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcyor. Kozmetik ama\u00e7la sadece y\u00fcz b\u00f6lgesinde uygulanan botoks, migren tedavisinde bundan farkl\u0131 olarak al\u0131n, \u015fakaklar, ense ve boyun b\u00f6lgelerinde belirli noktalara derialt\u0131na botulinum toksini i\u011fne ile verilerek uygulan\u0131yor. \u00c7o\u011fu durumda uygulamalar\u0131n etkisi yakla\u015f\u0131k 3-4 ay s\u00fcrece\u011finden tedavinin devam\u0131 i\u00e7in tekrarlanmas\u0131 gerekiyor. Amerika Birle\u015fik Devletleri ve \u0130ngiltere\u2019den sonra \u00fclkemizde de onaylanm\u0131\u015f olan kronik migren tedavisinde botoks uygulanmas\u0131n\u0131n g\u00fcvenilir olmas\u0131 i\u00e7in bir n\u00f6roloji uzman\u0131 taraf\u0131ndan yap\u0131lmas\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
N\u00d6ROLOJ\u0130 UZMANI DR. D\u0130DEM ER, M\u0130GREN TEDAV\u0130S\u0130NDE \u201cOKS\u0130P\u0130TAL BLOKAJ\u201d Y\u00d6NTEM\u0130 SAYES\u0130NDE A\u011eRIYA NEDEN OLAN S\u0130N\u0130R S\u0130STEM\u0130NDEK\u0130 A\u011eRI DUYUSUNUN BLOKE ED\u0130LEREK A\u011eRININ KES\u0130LEB\u0130LD\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[105631,98681,36978,19740,18363],"class_list":["post-1275369","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-oksipital","tag-blokaj","tag-migren","tag-tedavisinde","tag-yontemi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1275369","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1275369"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1275369\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1275369"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1275369"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1275369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}